Stress Echocardiography 5/e

Over the past twenty years, stress echocardiography has developed into a well-established technique that is versatile,
patient friendly, and relatively inexpensive. This new, extensively revised and enlarged edition of Stress
Echocardiography documents all of the very significant advances made since the fourth edition. The early chapters place
the technique within a historical context and describe its pathophysiological basis. Thereafter, all aspects of stress
echocardiography are discussed, clearly and in detail, by the distinguished pioneer, Eugenio Picano, and other
contributors carefully selected for their expertise. Both mainstream and emerging applications are explained, and
systematic comparisons with competing and complementary cardiac imaging techniques are provided. The text is supported
by a CD-ROM and a large number of high-quality illustrations. This book is invaluable not only to cardiologists but
also to non-experts, such as technicians and students.

- Contents -





1 Stress Echocardiography: A Historical Perspective (or How I Ate My Father) 1
2 Anatomical and Functional Targets of Stress Testing 17
3 Symptoms and Signs of Myocardial Ischemia 27
4 Rational Basis of Stress Echocardiography 37
5 Echocardiographic Signs of Ischemia 45
6 Segmentation of the Left Ventricle 57
7 Right Ventricular Ischemia in Stress Echocardiography 67
8 Pathogenetic Mechanisms of Stress 75
9 Stress Echocardiography: Instructions for Use 91
10 Exercise Echocardiography 103
11 Dobutamine Stress Echocardiography 115
12 Dipyridamole Stress Echocardiography 133
13 Adenosine Stress Echocardiography 155
14 Pacing Stress Echocardiography 165
15 Ergonovine Stress Echocardiography for the Diagnosis of Vasospastic Angina 173
16 Hyperventilation Test 183
17 Grading of Ischemic Response 189
18 Diagnostic Results and Indications 199
19 Echocardiographic Recognition of Myocardial Viability 213
20 Diagnostic Flowcharts 231
21 Prognosis 239
22 Tissue Harmonic Imaging, Anatomical M-Mode, and Three-Dimensional Imaging in Stress Echocardiography 253
23 New Technologies in Stress Echocardiography: Tissue Doppler and Strain Rate Imaging 263
24 New Technologies in Stress Testing: Acoustic Quantification and Color Kinesis 275
25 Tissue Characterization 291
26 Transesophageal Echocardiography for Evaluation of Coronary Artery Disease 299
27 Myocardial Contrast Stress Echocardiography 311
28 Special Subsets of Angiographically Defined Patients: Normal Coronary Arteries, Single-Vessel Disease, Left Main
Coronary Artery Disease, Major Noncardiac Vascular Surgery, Patients Undergoing Coronary Revascularization 329
29 Special Subsets of Electrocardiographically Defined Patients: Left Bundle Branch Block, Right Bundle Branch Block,
Atrial Fibrillation 339
30 Special Subsets of Clinically Defined Patients: Elderly, Women, Outpatients, Diabetics, Chest Pain Unit Patients 345
31 Microvascular Disease: Syndrome X, Hypertrophic Cardiomyopathy, and Arterial Hypertension 355
32 Stress Echocardiography in Dilated Cardiomyopathy 369
33 Stress Echocardiography After Cardiac Transplantation 377
34 Stress Doppler Echocardiography in Valvular Heart Disease 387
35 Stress Echocardiography Versus Cardiac Magnetic Resonance Imaging 403
36 Stress Echocardiography and Nuclear Imaging 419
37 Coronary Flow Reserve 437
38 Endothelial Function in the Stress Echocardiography Laboratory 455
39 Ulysses'' Syndrome 469
Subject Index 477